Get Started LET’S GET STARTED Fill in the following information. Please ensure it accurately matches your ID documents so as not to hold up your report. Please enable JavaScript in your browser to complete this form.Personal InformationMiddle name (if applicable)Middle name (if applicable)Last NameSingle Line TextDate of BirthGenderEmail AddressPhone NumberprivacyI accept Instant Record Check’s Privacy Policy and Terms of Use, and consent to their using the information provided to obtain a Criminal Record Check on my behalf.NextPlace of BirthCountry of BirthCountry of BirthUnited StatesCanadaProvince / State of BirthProvince / State of Birth (copy)PreviousNextCurrent Address CheckboxesUse this as my permanent addressStreet AddressStreet Address (copy)CountryCountryUnited StatesCanadaProvince / StateCity / MunicipalityCity / Municipality (copy)PreviousNextCriminal Convictions If you have been convicted of any crime during your lifetime, press the button to confirm, and list your convictions. NOTE: Failure to record all convictions may jeopardize your application! I have been convicted of a crimeNo YesPreviousNextGovernment-Issued Photo ID Upload a valid copy of your government-issued photo ID, e.g. driver’s license, passport, or permanent resident card or certificate. Note: Government-issued health cards or professional headshots may NOT be used to verify your ID.Choose Issuing country / regionChoose Issuing country / regionUSACanadaSelect ID TypeSelect ID TypePassportDriver's LicenseCanadian citizenship cardCanadian permanent resident cardgovernment-issued identification cardPreviousNextUpload Your photo ID Upload a clear color image of your full driving license, or take a photo by following the instructions.File Upload Click or drag a file to this area to upload. PreviousNextTake or Upload a Selfie Upload a clear selfie (not a photo of a photo), or take a selfie by following the instructions.File Upload Click or drag a file to this area to upload. PreviousNextCongratulations! Your documents have been successfully uploaded. PreviousNextReview and Confirm Details Please carefully review and confirm the accuracy of the details you have submitted. NOTE: Once you press NEXT, you will not be able to make any changes. BASIC INFORMATION First Name Mac Middle Name Not provided Last Name Villa Maiden Name Not Provided Date of Birth 1989-03-07 Phone Number +1 604 555 5555 Email test@email.com PreviousNextPayment Information Please enter and submit your payment information.Cardholder name Criminal Record Check $59.95 Tax $3 Order Total (CAD)$62.95 NumbersExp. DateCVCPreviousSubmit